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Related Concept Videos

Anatomical Positions01:11

Anatomical Positions

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In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
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Urinary Tract Calculi VI: Surgical Management01:25

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

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IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Imaging Studies I: Kidney, Ureter, and Bladder Studies01:28

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Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
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Cardiac Catheterization I: Pre-Procedure Overview01:28

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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The differential impact of adverse childhood experiences in the development of pre-diabetes in a longitudinal cohort of US adults.

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Prone Lateral Minimally Invasive Retropleural Corpectomy Using a Rotatable Radiolucent Jackson Table
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Supine versus prone position for percutaneous nephrolithotomy.

J A Salvadó1, C E Mendez

  • 1Department of Urology, Pontificia Universidad Católica de Chile, Santiago, Chile - jsalvado@med.puc.cl.

Minerva Urologica E Nefrologica = the Italian Journal of Urology and Nephrology
|September 3, 2015
PubMed
Summary
This summary is machine-generated.

Percutaneous nephrolithotripsy (PCNL) patient positioning is debated. This review compares prone versus supine approaches for complex kidney stone management, analyzing their respective benefits and drawbacks.

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Area of Science:

  • Urology
  • Surgical Techniques
  • Nephrolithiasis Management

Background:

  • Percutaneous nephrolithotripsy (PCNL) is the standard treatment for complex kidney stones.
  • Patient positioning during PCNL, specifically prone versus supine, remains a subject of ongoing debate.
  • Numerous modifications and variants of PCNL have been developed over time.

Purpose of the Study:

  • To conduct a literature review on patient positioning in PCNL.
  • To discuss the advantages and disadvantages of both prone and supine PCNL approaches.
  • To provide insights into the optimal patient positioning for complex urinary calculi management.

Main Methods:

  • Systematic literature review of studies comparing prone and supine PCNL.
  • Analysis of surgical outcomes, complications, and technical aspects for each position.
  • Discussion of anatomical considerations and surgeon preference.

Main Results:

  • Both prone and supine PCNL have demonstrated efficacy in stone removal.
  • Specific advantages and disadvantages exist for each position regarding operative time, fluoroscopy, and complication rates.
  • Patient anatomy and stone characteristics may influence the choice of position.

Conclusions:

  • The choice between prone and supine PCNL depends on various factors, including surgeon experience and patient-specific conditions.
  • Further research may help standardize optimal patient positioning for PCNL.
  • Understanding the nuances of each approach is crucial for successful complex stone management.